Lighthouse Dermatology and Skin Cancer Specialists
NPI 1689413445 · MOHS-Micrographic Surgery Physician · Saint Clair Shores, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lighthouse Dermatology and Skin Cancer Specialists is a MOHS-Micrographic Surgery Physician organization in Saint Clair Shores, MI (NPI 1689413445).
Provider details
- NPI number
- 1689413445
- Entity type
- Organization
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Rachel Escobar, Office Manager(248) 726-7646
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Dermatology Physician207N00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 20 W Clarkston RdLake Orion, MI 48362-2972Phone: (248) 726-7646
Registry dates
- Enumerated
- 2024-05-22
- Last updated
- 2025-04-18
- Certified
- 2025-04-18
Frequently asked questions
- What is Lighthouse Dermatology and Skin Cancer Specialists's NPI number?
- Lighthouse Dermatology and Skin Cancer Specialists's National Provider Identifier (NPI) is 1689413445, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lighthouse Dermatology and Skin Cancer Specialists?
- Lighthouse Dermatology and Skin Cancer Specialists is classified in the NPPES registry as MOHS-Micrographic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Lighthouse Dermatology and Skin Cancer Specialists located?
- Lighthouse Dermatology and Skin Cancer Specialists's practice location on file with NPPES is 26901 Harper Ave, Saint Clair Shores, MI 48081-1971.
- What is Lighthouse Dermatology and Skin Cancer Specialists's phone number?
- The practice phone number listed in the NPPES registry for Lighthouse Dermatology and Skin Cancer Specialists is (248) 726-7646.
- Does Lighthouse Dermatology and Skin Cancer Specialists accept Medicare?
- Lighthouse Dermatology and Skin Cancer Specialists is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Lighthouse Dermatology and Skin Cancer Specialists?
- The authorized official listed on Lighthouse Dermatology and Skin Cancer Specialists's NPPES record is Rachel Escobar, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lighthouse Dermatology and Skin Cancer Specialists's NPI active?
- Yes — Lighthouse Dermatology and Skin Cancer Specialists's NPI (1689413445) is active in the NPPES registry as of the last update on 2025-04-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.